Active NPI
Michael A Romandetti, PT
- Physical Therapist
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305208064
- Practice address
- 15 Parkman St
Wang Ambulatory Care Center, Room 134
Boston, MA 02114-3117 - Phone
- (617) 726-3023
- NPI assigned
- Mar 28, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305208064 | VA | Primary |
Addresses
Primary practice location
15 Parkman St
Wang Ambulatory Care Center, Room 134
Boston, MA 02114-3117
Mailing address
12516 Percival St
Apt 2
Chester, VA 23831-4435
Phone (845) 224-5261
Other practice location 1
4616 Chester Square Rd
Chester, VA 23831-1726
Phone (804) 581-5060
Other practice location 2
219 Weaver Ave
Emporia, VA 23847-1248
Phone (434) 336-5300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
219 Weaver Ave
Emporia, VA 23847-1248
Phone (434) 336-5300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305208064 | VA | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Romandetti Rehabilitation Services, LLC | Physical Therapist | Current | Accepting new patients |
Locations
4616 Chester Square Rd
Chester, VA 23831
Phone (804) 581-5060
219 Weaver Ave
Emporia, VA 23847
Phone (434) 336-5300
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Emporia, VA
- NPI 1336691526
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762992000000",
"number": "1275652398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12516 PERCIVAL ST",
"address_2": "APT 2",
"city": "CHESTER",
"state": "VA",
"postal_code": "238314435",
"telephone_number": "845-224-5261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 PARKMAN ST",
"address_2": "WANG AMBULATORY CARE CENTER, ROOM 134",
"city": "BOSTON",
"state": "MA",
"postal_code": "021143117",
"telephone_number": "617-726-3023"
}
],
"practiceLocations": [
{
"address_1": "4616 Chester Square Rd",
"address_purpose": "LOCATION",
"city": "Chester",
"state": "VA",
"postal_code": "238311726",
"country_code": "US",
"telephone_number": "804-581-5060",
"fax_number": "804-581-5061",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "219 Weaver Ave",
"address_purpose": "LOCATION",
"city": "Emporia",
"state": "VA",
"postal_code": "238471248",
"country_code": "US",
"telephone_number": "434-336-5300",
"fax_number": "434-336-5301",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROMANDETTI",
"first_name": "MICHAEL",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-28",
"last_updated": "2025-11-13",
"certification_date": "2025-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305208064",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.